The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
The poison gland is analogous to the parotid in location and structure.
The duct which runs through it is so dilated as to contain a small
amount of the peculiar poison. The amount of poison contained in these
reservoirs varies from eight to twelve minims, and is secreted somewhat
slowly. It seems to be, in some cases at least, a _glucoside_; in
others, a _toxalbumin_. It is capable of being preserved either dry
or in alcohol or in glycerin. The active poisonous principle seems to
pertain to a _globulin_ or to a _peptone_. Almost all of these venoms
are innocuous if swallowed, and like septic infections seem inoculable
only through the tissues and the circulating fluids. According to
Mitchell, the venom of the rattlesnake renders the blood incoagulable,
paralyzes the walls of the capillaries, and facilitates escape of
leukocytes into the tissues, thus making actual hemorrhagic swelling
occur; while the red corpuscles rapidly lose shape and fuse into
irregular masses and their hemoglobin is dissolved or disappears. This
poison seems to paralyze both the respiratory centre and the heart.
Cobra poison, not containing globulin, at least to a great extent, does
not produce the rapid changes of rattlesnake poison.
=Symptoms.=--A snake bite is like a hypodermic injection of a deadly
poison, and symptoms set in promptly. These are both local and general.
There is more or less local pain, with swelling and discoloration,
which are due to effusion of blood. They increase in intensity, and are
followed by vesication and necrosis of tissues--that is, gangrene--if
the patient survive for some time. Constitutional symptoms are not long
delayed, and are characterized by severe prostration, including cold,
clammy sweat; feeble and rapid pulse, irregular respiration, etc. When
patients succumb they usually die in collapse. The pathological changes
are not well-marked or characteristic.
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